@DrparrayMD @smithECGBlog @ShariqShamimMD @EM_RESUS @DrRazi4 @PendellM @The_Nanashi_O @amalmattu @RobertHermanMD @ecgandrhythmRoe Get posterior leads! V7-9!
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Krishna Pandya, MD MSCE
180 posts
Krishna Pandya, MD MSCE
@KrishnaPandyaMD
Fellow @PennPulmonary via @MGHMedicine | Native New Yorker, lover of all things 🫁 | Aspiring transplant pulmonologist
Philadelphia, PA Katılım Mart 2020
677 Takip Edilen467 Takipçiler
34F with chest pain .Given aspirin + morphine, troponin pending. Suddenly went into VF cardiac arrest → ROSC after CPR/defib. ECG attached. Thoughts? What was missed, and what could have been done better? #ECG #MedTwitter #FOAMed @smithECGBlog @ShariqShamimMD @EM_RESUS
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Great work @KrishnaPandyaMD and team!!!
Krishna Pandya, MD MSCE@KrishnaPandyaMD
Excited to share our summary on pulmonary rehabilitation, an underutilized and critically important treatment that can help our patients with chronic respiratory disease. Thanks to my coauthors Drs. Davis and @RestivoAnderson!
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@melina_manolas @RestivoAnderson Thanks Melina!! 🤗
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@KrishnaPandyaMD @RestivoAnderson You’re amazing !!!
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Excited to share our summary on pulmonary rehabilitation, an underutilized and critically important treatment that can help our patients with chronic respiratory disease. Thanks to my coauthors Drs. Davis and @RestivoAnderson!
JAMA@JAMA_current
This JAMA Clinical Guidelines Synopsis summarizes the American Thoracic Society’s 2023 guidelines on pulmonary rehabilitation for adults with chronic respiratory disease. ja.ma/4jNGC6i
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@olsonplanner Should we switch over to PAYE? This is insaneeeee
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It gets worse.
Administrative forbearance months on the SAVE plan now do NOT count towards PSLF.
THIS IS SO INFURIATING.
Im starting to think it’s time to bail SAVE and get on IBR.
Tyler Olson, EA@olsonplanner
Bad News for the SAVE Plan Read 👇🏻
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@eemoin Digit preference!! We talked about this paper in the CP epi class with Steve @jasleenminhas
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@ourhealthstudy @nutritionix @RomitB_MD @AAgarwalaMD @DrMarthaGulati @purviparwani @iamritu @dranulala @SVRaoMD @dramitkhera @KevinShahMD @GarimaVSharmaMD 🆘!!! @ourhealthstudy breaking our hearts now so we dont end up needing them fixed later! 😭
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🤔 Did you know...
That 1 jalebi piece (often consumed in multiple) has the same number of calories as a 12oz can of Coca-Cola??
😲
via @nutritionix
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@nickmmark In some cultures, especially those where people speak British-English (India and the likes..) the term that was learned and adopted is “expired”. It is interjected into non-English conversations in place of the non-English word for die, without malintent behind its use.
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Pet peeve of mine: when someone says that a patient “expired” on a date.
Milk expires. Fruit expires. People die.
Let’s use language that reflects the person’s personhood.
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Krishna Pandya, MD MSCE retweetledi
Well-deserved recognition of a rare, true “triple threat” - congratulations @jmvyasmdphd !
Jatin M. Vyas, MD, PhD@jmvyasmdphd
What started as a clinical ? during training turned into a lifelong passion for research & education. With support of mentors, colleagues & especially my trainees, I celebrated my promotion to Professor at Harvard. I could not have done it w/o the support of my amazing fam ❤️
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What started as a clinical ? during training turned into a lifelong passion for research & education. With support of mentors, colleagues & especially my trainees, I celebrated my promotion to Professor at Harvard. I could not have done it w/o the support of my amazing fam ❤️
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@jason_ryanmd We’re already there! *enter different attendings for the right and left ventricles*
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@TBrnaughtTB I love that clearance for GNR bacteremia is on there. People are always so shocked that it’s not indicated! We have to spread awareness 😂
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@sgremminger It’s funny you think we all choose our own schedules..
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@caseyadams360 But again, why are they shocked every day when they have mounds of paperwork? Why don't they schedule knowing that that is their reality?
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I'm at the pediatrician office for a well child visit with my daughter. Appointment was 9:20. Vitals taken and paperwork filled out, but still waiting to see a doctor.
Reason #30584 of why healthcare in the US sucks. Why can every other sector keep appts, but physicians can't?
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Congratulations to the presenters on fantastic work: Armaan Akbaar (JHU), Irene Bello (Hosp Clinic Barcelona), Sanjay Dutta (Sydney), Lucas Hoyos Mejia (Univ Hosp Zurich), Kevin Kulshrestha (Cincinnati Children’s)
Indonesia
🔎Conventional DBD v cDCD in🇨🇭: DBD correlated w/⬆️ ⏰ vent, ⬆️90d mortality. cDCD assoc w/⬆️LOS. BUT late outcomes w/o significant diff b/t groups (marginally superior 1yr mortality but early CLAD in cDCD cohort)
- Can we safely follow suit?
- Can this ⬆️access to pediatric pts?
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🔎Extended criteria donors⬆️ pool, but significant regional variation in acceptable age. Single center eval don >68YO vs not. No difference in rates of post-op ECMO, LOS (ICU or hosp), or 30d mortality, overall death.
- So what’s stopping us?
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🔎We use mechanical insufflation/exsufflation routinely for critically ill patients. One group performed blinded RCT of MIE on organ donors, which ⬆️ % of eligible lung donors!
- Can we use this to ⬆️ donor pool?
- What’s stopping us from universal implementation?
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🔎Rates of intraop 🫁 turndown after initial acceptance have ⬆️ to up to 10% at some institutions in the last 20 yrs
- Can we improve communication b/t OPO & txp centers prior to transport/travel?
- What are the reasons behind 🫁decline?
- How will this change in the CAS era?
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@ISHLT marathon coming to an end this afternoon with one last session! How can we increase the lung donor pool?
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